| NPI | 1649667585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-00778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 86238) |
| 208000000X Pediatrics (Licence: CA A166799) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-11-21 |